Chediak, Gloria J

Chediak, Gloria J is an individual health care provider with primary practice located at 601 Missouri St Ste 1, Lawrence KS 66044-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chediak, Gloria J can be contacted via phone (785) 841-7430.

Contact Information

Primary practice address
601 Missouri St Ste 1 Lawrence KS 66044-2353
Phone: (785) 841-7430
Fax: (785) 841-6411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 156 Kansas

Profile Details

NPI number 1841316353
LBN Legal business name Chediak, Gloria J
Credentials LSCSW, BCD, DCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841316353 NPPES
Kansas Other 011116 BLUE CROSS BLUE SHIELD

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